MARTINE THERESE NELSON (NPI# 1669561478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669561478 |
| Entity Type | Individual |
| Full Name | MARTINE THERESE NELSON |
| Credential | MD |
| Practice Address |
2745 Maple Ave Lisle IL 60532-3280 |
| Practice Telephone | 6307179600 |
| Practice Fax Number | 6307175297 |
| Mailing Telephone | 6307179600 |
| Mailing Fax Number | 6307175297 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2008-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
036067467 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036067467 | 05 | |
| IL | BLUE CROSS BLUE SHEILD | 31601930 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295076743 | Martine Nelson | Licensed Practical Nurse | 620 E 29th St, Brooklyn, NY 11210-2432 | 2013-03-08 |
| 1730631185 | Martine Nelson | Case Manager/Care Coordinator | 1639 Forum Pl Ste 7, West Palm Beach, FL 33401-2330 | 2016-11-02 |
| Street Address |
2745 MAPLE AVE |
| City | LISLE |
| State | IL |
| Zip Code | 60532-3280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821497207 | Violeta Barbolyuk | Massage Therapist | 2745 Maple Ave, 2d, Lisle, IL 60532-3280 | 2014-08-21 |
| 1518366921 | Tiffany Murphy | Massage Therapist | 2745 Maple Ave, 2d, Lisle, IL 60532-3280 | 2014-08-21 |
| 1427457951 | Dana Zerwer | Massage Therapist | 2745 Maple Ave, Suite 2d, Lisle, IL 60532-3280 | 2014-08-20 |
| 1790967016 | Martine Nelson, Md, LLC | Pediatrics | 2745 Maple Ave, Suite 2a, Lisle, IL 60532-3280 | 2007-11-28 |
| 1285796862 | Ushaben Gandaji Chavda | Pediatrics | 2745 Maple Ave, Suite 2a, Lisle, IL 60532-3280 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326675760 | Contemporary Wellness, LLC | Counselor | 4300 Commerce Court, Suite 300-9, Lisle, IL 60532 | 2020-03-25 |
| 1841825510 | Ih Lisle Opco, LLC | Skilled Nursing Facility | 2850 Ogden Avenue, Lisle, IL 60532 | 2020-03-03 |
| 1598305849 | Peter Sismour | Counselor | 4603 Main Street, Lisle, IL 60532 | 2020-01-14 |
| 1336634856 | Forward Emotion, LLC | Counselor | 3060 Ogden Ave Ste 102, Lisle, IL 60532 | 2018-06-27 |
| 1801397179 | David Rodemaker | Psychologist | 1500 Eisenhower Lane, Suite 300, Lisle, IL 60532 | 2018-02-22 |
| 1801325139 | Naperville Psychological Associates LLC | Psychologist | 6010 S Route 59, Suite B, Lisle, IL 60532 | 2017-06-09 |
| 1831649730 | Paige Diesner | Physician Assistant | 430 Warrenville Rd., Ste 300, Lisle, IL 60532 | 2016-10-04 |
| 1174978860 | Lisa Schaedler | Social Worker | 4774 Hill Trail Rd Apt 2c, Lisle, IL 60532 | 2016-04-29 |
| 1831578962 | Farah Budd | Occupational Therapist | 748 Riedy Rd, Lisle, IL 60532 | 2015-05-21 |
| 1649602822 | Marie Ann Markham Gonzalez | Developmental Therapist | 5629 Dover Dr, Lisle, IL 60532 | 2013-07-30 |
| Find all providers in zip 60532 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790967016 | Martine Nelson, Md, LLC | Pediatrics | 2745 Maple Ave, Suite 2a, Lisle, IL 60532-3280 | 2007-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417259979 | Adolescent and Young Adult Place Ltd | Pediatrics | 9 N Cicero Ave, Chicago, IL 60644-3602 | 2010-12-03 |
| 1942520671 | Cherie Priya Dhar | Pediatrics | 1440 N Dayton St Fl 3, Chicago, IL 60642-2644 | 2010-06-04 |
| 1730334764 | Neighborhood Pedicatrics Sc | Pediatrics | 20200 Governors Dr, 101, Olympia Fields, IL 60461-1032 | 2008-11-18 |
| 1790950244 | Kids Place of Willowbrool Sc | Pediatrics | 6727 Kingery Hwy, Willowbrook, IL 60527-5142 | 2008-04-25 |
| 1841475746 | David C. Norman, Md Inc. | Pediatrics | 4600 Memorial Dr Ste G60, Belleville, IL 62226-5366 | 2008-01-09 |
| 1346429859 | Pediatric & Adolescent Center, S.c. | Pediatrics | 125 E Lake Cook Rd Ste 107, Buffalo Grove, IL 60089-4394 | 2007-10-31 |
| 1649475377 | Lisa Kantz Simons | Pediatrics | 225 E Chicago Ave # Ms 161b, Chicago, IL 60611-2991 | 2007-06-21 |
| 1346368487 | Sarah Bush Lincoln Health Center | Pediatrics | 1411 E St, Suite 2, Charleston, IL 61920-2529 | 2007-03-27 |
| 1558402958 | Ashok H Bhaskar | Pediatrics | 2250 Weber Rd, Crest Hill, IL 60435-0928 | 2007-02-09 |
| 1609927417 | Kimberly A Seipel-carrow | Pediatrics | Northwestern University Health Services, 633 Emerson, Evanston, IL 60208-0001 | 2007-01-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARTINE THERESE NELSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.